【摘要】 目的 通过复习我院自1996年以来的动脉取栓术病例，探讨Fogarty导管取栓术的手术时机及疗效判定。 方法 急诊手术，多采用Fogarty导管经股动脉取栓，术中配合抗凝溶栓治疗，术后继续抗凝溶栓7～10天，同时配合组织保护剂、神经营养药物等。 结果 所有取栓术均获得成功，但根据血栓部位、形成时间等有所不同，并受到年龄及伴随疾病的影响，取栓的效果有很大区别。 结论 Fogarty导管取栓是目前治疗急性动脉栓塞唯一行之有效的方法，但要根据患者个体化因素，区别对待，药物治疗也是必不可少的一个重要环节。

    【关键词】 动脉取栓术；抗凝溶栓；Fogarty导管

    【Abstract】 Objective Review the case of Arterial embolectomy in our hospital since 1996. Discusses the opportunity of operation and evaluation of therapeutic effect of embolectomy by using Fogarty pipe. Methods Emergency operation, We often use Fogarty pipe to take out embolus through femoral artery with anticoagulant and thrombolysis therapy during the operation. After the operation we continue anticoagulant and therapy 7～10 days and neurotrophy and tissue protecting treatment at the same time. Results All the operations are successful, whereas the therapeutic effect have some difference because of the difference of location and time of the thrombus forming, even with the age and complication. Conclusion Arterial embolectomy with Fogarty pipe is the only effective treatment for acute arterial embolism. But it must be made difference between treatmentaccoding to individualization. Drug treatment is indispensable component element. ......